Document Detail


The risk of cardiovascular events during leisure time activities at altitude.
MedLine Citation:
PMID:  20417344     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Annually, more than 100 million tourists are attracted by the mountainous areas around the world. On the one hand, leisure time activities at altitude may well contribute to the well-established beneficial effects of exercise; on the other hand, these activities are also associated with a relatively high risk of death. Sudden cardiac death (SCD) is the most frequent cause of nontraumatic death in males older than 34 years at altitude during leisure time activities such as downhill skiing and hiking. Whereas prior myocardial infarction is the most important risk factor for SCD, particularly relevant in downhill skiers, the unusual physical activity during the first days at altitude and the prolonged abstinence from food and fluid intake during exercise at altitude are the most important triggers. Unaccustomed physical activity seems more likely to trigger SCD than altitude per se. The detection of subjects at risk, evidence-based therapy, and advice on adequate behavior during the altitude sojourn will help to prevent SCD and to increase the health benefits generated by mountaineering activities.
Authors:
Martin Burtscher; Andrea Ponchia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Progress in cardiovascular diseases     Volume:  52     ISSN:  1873-1740     ISO Abbreviation:  Prog Cardiovasc Dis     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-05-13     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  0376442     Medline TA:  Prog Cardiovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  507-11     Citation Subset:  AIM; IM    
Affiliation:
Department of Sport Science, Medical Section, University of Innsbruck, 6020 Innsbruck, Austria. martin.burtscher@uibk.ac.at <martin.burtscher@uibk.ac.at>
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Altitude
Austria / epidemiology
Cardiovascular Diseases / complications,  prevention & control
Death, Sudden, Cardiac / epidemiology,  etiology*,  prevention & control*
Evidence-Based Medicine
Exercise
Humans
Incidence
Italy / epidemiology
Leisure Activities*
Male
Middle Aged
Mountaineering*
Myocardial Infarction / epidemiology,  etiology*,  prevention & control*
Practice Guidelines as Topic
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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